COVID-19 Vaccine Request Form


We have temporarily closed our COVID-19 Vaccine registration site. This is to allow us to respond to all requests. We will have more events scheduled very soon, please check back often for updates.

The COVID-19 vaccine is being distributed in phases and tiers to serve all adults who live, work, or are being educated in the state.

Who is currently eligible for the vaccine?

Healthcare Personnel (Phase 1A)

Long-Term Care Patients and Staff (Phase 1A)

First Responders (Phase 1B)

Individuals at High Risk (Phase 1B) (effective 1/14/21) Visit this page for a complete breakdown of who is eligible in this category.

Visit this page to get the latest on the COVID-19 Vaccine, testing locations and find out how to protect yourself.